CRX.002.066

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TMSIS Dataguide

Medicaid.gov

Version:

DATE-OF-BIRTH

Data Element

DE Number

CRX066

System DE Number

CRX.002.066

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	An individual's date of birth.
Size	9(8)
FLF Start Position	446
FLF Stop Position	453
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e Feb 29th only on the leap year, never April 31st or Sept 31st) 3. Mandatory

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1832	If a claim is a non-denied claim from an RX file, then the date of birth value reported must be a valid date of the form CCYYMMDD.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP175	CIP.002.175	DATE-OF-BIRTH	CIP00002	CLAIM-HEADER-RECORD-IP
CLT126	CLT.002.126	DATE-OF-BIRTH	CLT00002	CLAIM-HEADER-RECORD-LT
COT108	COT.002.108	DATE-OF-BIRTH	COT00002	CLAIM-HEADER-RECORD-OT
ELG024	ELG.002.024	DATE-OF-BIRTH	ELG00002	PRIMARY-DEMOGRAPHICS-ELIGIBILITY
PRV034	PRV.002.034	DATE-OF-BIRTH	PRV00002	PROV-ATTRIBUTES-MAIN

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/12/2024	3.29.0	CRX.002.066	UPDATE	Coding requirement	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st)3. Mandatory	1. Value must be 8 characters in the form "CCYYMMDD"2. The date must be a valid calendar date (i.e Feb 29th only on the leap year, never April 31st or Sept 31st)3. Mandatory
06/24/2022	3.0.0	DATE-OF-BIRTH	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| PRV034\|DATE-OF-BIRTH\|An individual's date of birth.\| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3. (FD1) value must be less than or equal to associated End of Time Period (PRV.001.010) 4. (FD1) value must be less than or equal to associated Date File Created (PRV.001.008) 5. (N) conditional 6. (FDN) the difference between current value and Start of Time Period (PRV.001.009) must be between 18 and 85 years\|	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| PRV034\|DATE-OF-BIRTH\|An individual's date of birth.\| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(FD1) value must be less than or equal to associated End of Time Period (PRV.001.010) 4.(N) conditional 5.(FDN) the difference between current value and Start of Time Period (PRV.001.009) must be between 18 and 85 years\|
06/24/2022	3.0.0	DATE-OF-BIRTH	UPDATE	Data Dictionary	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| CLT126\|DATE-OF-BIRTH\| An individual's date of birth.\| 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(N) mandatory 4.(FD) value must equal Date of Birth (ELG.002.024) when Conception to Birth Indicator (ELG.005.094) does not equal '1' and Eligibility Group (ELG.005.087) does not equal '64'\|	DE NO\|DATA ELEMENT NAME\| DEFINITION\|CODING REQUIREMENT\| CLT126\|DATE-OF-BIRTH\| An individual's date of birth.\| Description: An individual's date of birth. 1.Value must be 8 characters in the form "CCYYMMDD" 2. The date must be a valid calendar date (i.e. Feb 29th only on the leap year, never April 31st or Sept 31st) 3.(N) mandatory\|